Our previous studies have demonstrated that repeated cocaine (COC) administration reduces voltage-sensitive sodium and calcium currents (I Na or VSSCs and I Ca or VSCCs, respectively) in medium spiny nucleus accumbens (NAc) neurons of rats. The present findings further indicate that chronic COC-induced I Na reduction in NAc neurons is regulated by decreased dephosphorylation and enhanced phosphorylation of Na þ channels. Whole-cell voltage-clamp recordings revealed that dephosphorylation of Na þ channels by calcineurin (CaN) enhanced I Na , while inhibition of protein phosphatase 1 (PP1) by phosphorylated dopamine-and cAMP-regulated phosphoprotein (M r ¼ 32 kDa) (DARPP-32) at the site of threonine 34 (p-Thr.34-DARPP-32) suppressed I Na , in freshly dissociated NAc neurons of saline-pretreated rats. However, the effects of CaN on enhancing I Na were significantly attenuated, and the action of p-Thr.34-DARPP-32 to decrease I Na was mimicked, although not potentiated, by repeated COC pretreatment. Dephosphorylation of Na þ channels by PP1 also enhanced I Na , but this effect of PP1 on I Na was not apparently affected by repeated COC administration.Western blot analysis indicates that the protein levels of CaN and DARPP-32 were significantly decreased and increased, respectively, while the PP1 levels were unchanged, in the COC-withdrawn NAc as compared to saline-pretreated controls. Combined with previous findings, our results indicate that both CaN and PP1 modulate the increase in I Na via enhancing dephosphorylation, while p-Thr.34-DARPP-32 reduces I Na by inhibiting PP1-induced dephosphorylation, thereby stabilizing the phosphorylation state, of Na þ channels in NAc neurons. They also suggest that chronic COC-induced I Na reduction may be attributed to a reduction in Ca 2þ signaling, which disrupts the physiological balance of phosphorylation and dephosphorylation of Na þ channels.Neuropsychopharmacology (